Insurance World

Nearly 70 percent of older Americans endorse the concept of individual health savings accounts to help cover medical expenses in their later years, a new survey finds.

The accounts would involve setting aside 1 percent of income to handle expenses not covered by Medicare, the federal insurance program for people aged 65 or older.

The survey also found that a majority of those interviewed expressed support for being able to buy into Medicare before they turn 65.

It Won’t Be Easy Without Health Insurance

Many older Americans are facing a bleak picture as they enter retirement. Not only do they often struggle with chronic health problems, but their wages are stagnant, health costs are rising and retiree health benefits are declining.

Fifty-three percent of respondents who worked or had a working spouse said they would not have job-based health benefits when they retired. According to researchers, 12 million older adults are currently uninsured or have had histories of unstable coverage.

It Takes Money To Have Health Insurance

Twenty-four percent of adults aged 50 to 65 said they have not filled a prescription, seen a doctor or specialist, or gotten a medical test or follow-up treatment due to the costs involved. more than one-third said they had a problem paying medical bills in the past year, or were still paying off medical debt from the last three years.

All of this is taking a toll on confidence. Only 15 percent of respondents aged 50 to 64 and 22 percent of those aged 65 to 70 felt they would have enough income and savings for retirement. Almost two-thirds worried they would not be able to afford medical care and health insurance in their later years.

The study of the human history and civilization reveals a universal desire for security, and it indicates that the need for security has been one of the most powerful motivating forces in the material and cultural growth.

Early societes relied on family and tribe cohesiveness for their security. With economic progress, however, this security source weakens. Insurance, in some form, has been a universal response to societies’ request for security.

Life insurers sell today policies that permit policyowners the felxibility of deciding the amount of the premium he or she would like to pay. Whole life policies are examples of such flexible plans because they are a function of the amount of the policyowner’s past and present premium payments.

Subject to company rules regarding minimums and maximums, the policyowner may pay whatever premium during a policy year that she or he wishes. An amount to cover the insurer’s expenses and mortality charges is subtracted from the cash value and a penalty for early policy termination, called a surrender charge, may be assessed against the policy’s cash value.

Many life insurance policies have cash values. Conceptually, all life insurance policy cash values can be derived in the same way and all evolve for the same basic reason: prefunding of future mortality charges. As a practical matter, however, policies are usually viewed in different ways.

The savings element is considered a by-product of the level premium method of payment. With universal life and some other newer forms of life insurance policies, the savings element is usually considered to be a more independent part of the policy, specifically designed to build a savings fund from which mortality and expense charges are withdrawn.

Economists and marketing personnel tend to view a level-premium whole life contract as a divisible contract providing financial protection to the policyowner’s beneficiaries, with other contract benefits available, including cash surrender and loan values. A policyowner may discontinue the insurance and surrender the policy for its cash values.

Alternatively, a policyowner may borrow from the insurer an amount up to the cash value, at a contractually stated rate of interest, using the cash value as collateral.

The distinguishing features of universal life policies are:

1- their flexibility
2- their transparency.

These policies are flexible in that they permit policyowners, within limits, to increase or decrease premium payments as they wish also to increase or decrease the policy face amount.

The transparency means that the three elements of life insurance ( mortality, interest, expenses ) are identified and disclosed to the customers.
The savings component of the life insurance policies is a direct function of the premium payments made by policyowners.